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Hospital Information Hospital or Facility Name* This field can be seen by: EveryoneChangeWho can see this field?EveryoneOnly MeAll MembersMy FriendsClose Health System Name (if applicable) This field can be seen by: EveryoneChangeWho can see this field?EveryoneOnly MeAll MembersMy FriendsClose Website* This field can be seen by: EveryoneChangeWho can see this field?EveryoneOnly MeAll MembersMy FriendsClose Bed Size* This field can be seen by: EveryoneChangeWho can see this field?EveryoneOnly MeAll MembersMy FriendsClose Address* This field can be seen by: EveryoneChangeWho can see this field?EveryoneOnly MeAll MembersMy FriendsClose City* This field can be seen by: EveryoneChangeWho can see this field?EveryoneOnly MeAll MembersMy FriendsClose State Province* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of 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CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the CongoReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe This field can be seen by: EveryoneChangeWho can see this field?EveryoneOnly MeAll MembersMy FriendsClose Do you have a sepsis program in place?* YesNoIn process This field can be seen by: EveryoneChangeWho can see this field?EveryoneOnly MeAll MembersMy FriendsClose Has your hospital received Sepsis Certification from The Joint Commission?* YesNoIn process This field can be seen by: EveryoneChangeWho can see this field?EveryoneOnly MeAll MembersMy FriendsClose What is your greatest need at this time to make your sepsis program successful?* This field can be seen by: EveryoneChangeWho 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